Provider Demographics
NPI:1043251010
Name:ROGERS, STEPHANIE DAGOSTINO (PT, DPT, MPST, MPS G)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:DAGOSTINO
Last Name:ROGERS
Suffix:
Gender:F
Credentials:PT, DPT, MPST, MPS G
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 BUTTERFIELD RD STE 1600
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-1211
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:713 W WADE HAMPTON BLVD
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-1307
Practice Address - Country:US
Practice Address - Phone:864-479-6084
Practice Address - Fax:864-479-6091
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VACP029334T225100000X
NY0254571225100000X
NCP109982251G0304X
SC225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics